Non permissive environment? Right Ans - the level of care delivered is
limited due to environment and increased risk to medic.
cathem
airway
Semi permissive environment treatment Right Ans - tactical field care -
treatment at point of wounding.
field resuscitation treatment in role 1 facility.
Permissive environment Right Ans - allows for advanced resuscitation to
occur in role 1/2/3 facilities.
What explosion mechanisms can cause injuries? Right Ans - blast injuries
fragmentation - penetrating traumas
crush and impacts - blunt traumas
burns, toxic chemicals and psychological
What is golden hour? Right Ans - the importance of the hour from a pt first
getting the injury to having first aid.
What is platinum known as in the golden hour? Right Ans - the first 10
minutes.
If unable to get to causality in a non permissive environment what do we tell
the causality? Right Ans - move - crawl away from threat
self apply - ECB / tourniquet to control bleeding.
Neutralise - neutralise immediate environmental threat
How many tourniquets should be applied on above knee amputations.
Right Ans - 2
If one tourniquet in applied but bleeding control isn't achieved what should
we do? Right Ans - apply tourniquet approx 2 fingers width above the first.
If you believe bleeding can be controlled by direct pressure and dressing
instead of tourniquet what should we do? Right Ans - loosen tourniquet,
,apply direct pressure to the wound. Assess wound if unable to gain control
retighten tourniquet.
Where can celox be used? Right Ans - where a torniquet can't be used or an
ECB
groin
armpit
neck
Can celox be used aswell as a tourniquet? Right Ans - yes if there is a
requirement to control limb bleed.
Where can celox not be used? Right Ans - chest cavity
abdomen cavity
open head wounds
What is an active ingredient in celox? Right Ans - Chitosan
What sounds is hypo-resonance? Right Ans - dull sounds haemothorax
What sounds is hyper-resonance? Right Ans - hollow sounds
pneuthmothorax / tension
What is the mnemonic BL-ATOMFC Right Ans - Blast lung
Airway obstruction
Tension Pnemonthorax
open pnemonthorax
massive haemorrhage
flail chest
cardiac temponard
Obstruction to airway signs and treatment Right Ans - obvious signs -
trauma to neck / face
hidden signs - foreign body in pharynx
if cant be relived of obstruction then may need surgical airway.
Tension pneumothorax signs and treatment Right Ans - air in lung
uneven symmetry
hyper - resonance breath sounds
, Unilateral needle decompression with an air release system ARS in the 2nd
Intercostal space, mid - clavicular line.
Open pneumothorax Right Ans - sucking chest wound
Affected side would have decreased chest movement and decreased breath
sounds.
apply chest seal
If sucking chest wound is larger than chest seal what do we do? Right Ans -
apply chest seal over part of wound and the remander with occlusive dressing.
If 2 sucking chest wounds are on the same side how many valves are
required? Right Ans - 1 with occlusive dressing on other
If there are 2 sucking chest wounds but on different sides how many valves
are required? Right Ans - 2
When a pt has a massive heaemothorax what are the signs? (8) Right Ans -
shock
tachycardia
hypotension
affected side will have
-reduced breath sounds
-dullness to percussion hypo - resonance
-hypo expansion
- hypo mobility.
respiratory distress
treatment of massive haemothorax Right Ans - fluid replacement
chest drain
where does care under fire take place? Right Ans - in a non permissive
environment where there is a risk to life.
what airway management is used in care under fire? Right Ans - postal
drainage
what is traps? Right Ans - tactical field care
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